Biliopancreatic Diversion with Gastrectomy as Surgical Treatment of Morbid Obesity View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

1991-12

AUTHORS

Picard Marceau, Simon Biron, Regent St Georges, Marie Duclos, Martin Potvin, Roch-A Bourque

ABSTRACT

The best procedure for the treatment of morbid obesity has not yet been defined. Biliopancreatic diversion is one of the techniques available, but its results have not been sufficiently documented and the addition of a subtotal gastrectomy to the diversion so as to avoid leaving a blind non-functioning stomach, is still questionable. The purpose of this paper is to report our experience with our first 149 consecutive patients who were treated by biliopancreatic diversion with subtotal gastrectomy for morbid obesity. Operative mortality was 3% and morbidity 12%. The weight loss was marked during the first 6 months and decreased during the following 12 months. The weight stabilized at 2 years and there was subsequently a small increase. In only two out of 48 cases was the weight loss less than 25% of the initial weight at 2 years. The undesirable side-effects were diarrhea in 6%, vomiting in 9% and dyspepsia in 4%. The intervention leads to a malabsorption of carotene, iron, albumin and calcium. Except for carotene the deficiencies were corrected by oral supplement. In two patients, with resistant deficiencies, the diversion was reversed. Eighty-eight percent of the patients are satisfied with this intervention. At 2 years, 70% have reached their weight loss objective without any major side-effects or nutritional deficiencies, but in 14% the outcome of the procedure must be considered unsatisfactory. Biliopancreatic diversion with subtotal gastrectomy is a major operation, but it gives encouraging results so far. More... »

PAGES

381-386

Identifiers

URI

http://scigraph.springernature.com/pub.10.1381/096089291765560764

DOI

http://dx.doi.org/10.1381/096089291765560764

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1016246310

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/10775939


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